Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS

Facility

$32,033.14

Service Code	APR-DRG 0504
Min. Negotiated Rate	$30,507.75
Max. Negotiated Rate	$32,033.14
Rate for Payer: BCBS Complete	$32,033.14
Rate for Payer: Mclaren Medicaid	$30,507.75
Rate for Payer: Meridian Medicaid	$32,033.14
Rate for Payer: Priority Health Choice Medicaid	$30,507.75
Rate for Payer: UHC Medicaid	$30,507.75
Rate for Payer: UHCCP Medicaid	$30,507.75

NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS

Facility

$8,627.02

Service Code	APR-DRG 0502
Min. Negotiated Rate	$8,216.21
Max. Negotiated Rate	$8,627.02
Rate for Payer: BCBS Complete	$8,627.02
Rate for Payer: Mclaren Medicaid	$8,216.21
Rate for Payer: Meridian Medicaid	$8,627.02
Rate for Payer: Priority Health Choice Medicaid	$8,216.21
Rate for Payer: UHC Medicaid	$8,216.21
Rate for Payer: UHCCP Medicaid	$8,216.21

NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS

Facility

$4,015.97

Service Code	APR-DRG 0501
Min. Negotiated Rate	$3,824.73
Max. Negotiated Rate	$4,015.97
Rate for Payer: BCBS Complete	$4,015.97
Rate for Payer: Mclaren Medicaid	$3,824.73
Rate for Payer: Meridian Medicaid	$4,015.97
Rate for Payer: Priority Health Choice Medicaid	$3,824.73
Rate for Payer: UHC Medicaid	$3,824.73
Rate for Payer: UHCCP Medicaid	$3,824.73

NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$9,696.80

Service Code	APR-DRG 3231
Min. Negotiated Rate	$9,235.04
Max. Negotiated Rate	$9,696.80
Rate for Payer: BCBS Complete	$9,696.80
Rate for Payer: Mclaren Medicaid	$9,235.04
Rate for Payer: Meridian Medicaid	$9,696.80
Rate for Payer: Priority Health Choice Medicaid	$9,235.04
Rate for Payer: UHC Medicaid	$9,235.04
Rate for Payer: UHCCP Medicaid	$9,235.04

NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$22,425.20

Service Code	APR-DRG 3234
Min. Negotiated Rate	$21,357.34
Max. Negotiated Rate	$22,425.20
Rate for Payer: BCBS Complete	$22,425.20
Rate for Payer: Mclaren Medicaid	$21,357.34
Rate for Payer: Meridian Medicaid	$22,425.20
Rate for Payer: Priority Health Choice Medicaid	$21,357.34
Rate for Payer: UHC Medicaid	$21,357.34
Rate for Payer: UHCCP Medicaid	$21,357.34

NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$15,494.58

Service Code	APR-DRG 3233
Min. Negotiated Rate	$14,756.74
Max. Negotiated Rate	$15,494.58
Rate for Payer: BCBS Complete	$15,494.58
Rate for Payer: Mclaren Medicaid	$14,756.74
Rate for Payer: Meridian Medicaid	$15,494.58
Rate for Payer: Priority Health Choice Medicaid	$14,756.74
Rate for Payer: UHC Medicaid	$14,756.74
Rate for Payer: UHCCP Medicaid	$14,756.74

NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$11,723.99

Service Code	APR-DRG 3232
Min. Negotiated Rate	$11,165.70
Max. Negotiated Rate	$11,723.99
Rate for Payer: BCBS Complete	$11,723.99
Rate for Payer: Mclaren Medicaid	$11,165.70
Rate for Payer: Meridian Medicaid	$11,723.99
Rate for Payer: Priority Health Choice Medicaid	$11,165.70
Rate for Payer: UHC Medicaid	$11,165.70
Rate for Payer: UHCCP Medicaid	$11,165.70

NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT

Facility

$19,215.30

Service Code	APR-DRG 3253
Min. Negotiated Rate	$18,300.28
Max. Negotiated Rate	$19,215.30
Rate for Payer: BCBS Complete	$19,215.30
Rate for Payer: Mclaren Medicaid	$18,300.28
Rate for Payer: Meridian Medicaid	$19,215.30
Rate for Payer: Priority Health Choice Medicaid	$18,300.28
Rate for Payer: UHC Medicaid	$18,300.28
Rate for Payer: UHCCP Medicaid	$18,300.28

NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT

Facility

$12,667.06

Service Code	APR-DRG 3251
Min. Negotiated Rate	$12,063.87
Max. Negotiated Rate	$12,667.06
Rate for Payer: BCBS Complete	$12,667.06
Rate for Payer: Mclaren Medicaid	$12,063.87
Rate for Payer: Meridian Medicaid	$12,667.06
Rate for Payer: Priority Health Choice Medicaid	$12,063.87
Rate for Payer: UHC Medicaid	$12,063.87
Rate for Payer: UHCCP Medicaid	$12,063.87

NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT

Facility

$23,916.36

Service Code	APR-DRG 3254
Min. Negotiated Rate	$22,777.48
Max. Negotiated Rate	$23,916.36
Rate for Payer: BCBS Complete	$23,916.36
Rate for Payer: Mclaren Medicaid	$22,777.48
Rate for Payer: Meridian Medicaid	$23,916.36
Rate for Payer: Priority Health Choice Medicaid	$22,777.48
Rate for Payer: UHC Medicaid	$22,777.48
Rate for Payer: UHCCP Medicaid	$22,777.48

NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT

Facility

$15,452.73

Service Code	APR-DRG 3252
Min. Negotiated Rate	$14,716.88
Max. Negotiated Rate	$15,452.73
Rate for Payer: BCBS Complete	$15,452.73
Rate for Payer: Mclaren Medicaid	$14,716.88
Rate for Payer: Meridian Medicaid	$15,452.73
Rate for Payer: Priority Health Choice Medicaid	$14,716.88
Rate for Payer: UHC Medicaid	$14,716.88
Rate for Payer: UHCCP Medicaid	$14,716.88

NON-EXTENSIVE BURNS

Facility

$33,578.00

Service Code	MSDRG 935
Min. Negotiated Rate	$15,674.19
Max. Negotiated Rate	$33,578.00
Rate for Payer: Aetna Medicare	$17,159.12
Rate for Payer: Allen County Amish Medical Aid Commercial	$20,623.94
Rate for Payer: Amish Plain Church Group Commercial	$20,623.94
Rate for Payer: BCBS MAPPO	$16,499.15
Rate for Payer: BCBS Trust/PPO	$23,777.85
Rate for Payer: BCN Commercial	$23,777.85
Rate for Payer: BCN Medicare Advantage	$16,499.15
Rate for Payer: Health Alliance Plan Medicare Advantage	$16,499.15
Rate for Payer: Mclaren Medicare	$16,499.15
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$17,324.11
Rate for Payer: MI Amish Medical Board Commercial	$18,974.02
Rate for Payer: Molina Medicare/Medicaid	$18,149.06
Rate for Payer: Nomi Health Commercial	$26,574.00
Rate for Payer: PACE Medicare	$15,674.19
Rate for Payer: PACE SWMI	$16,499.15
Rate for Payer: PHP Medicare Advantage	$16,499.15
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$33,211.61
Rate for Payer: Priority Health Medicare	$16,499.15
Rate for Payer: Priority Health Tiered Network	$26,569.28
Rate for Payer: Railroad Medicare Medicare	$16,499.15
Rate for Payer: UHC All Payor (Choice/PPO)	$33,578.00
Rate for Payer: UHC Core	$28,092.22
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$16,499.15
Rate for Payer: UHC Exchange	$22,942.22
Rate for Payer: VA VA	$16,499.15

NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$21,953.38

Service Code	APR-DRG 7944
Min. Negotiated Rate	$20,907.98
Max. Negotiated Rate	$21,953.38
Rate for Payer: BCBS Complete	$21,953.38
Rate for Payer: Mclaren Medicaid	$20,907.98
Rate for Payer: Meridian Medicaid	$21,953.38
Rate for Payer: Priority Health Choice Medicaid	$20,907.98
Rate for Payer: UHC Medicaid	$20,907.98
Rate for Payer: UHCCP Medicaid	$20,907.98

NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$10,937.42

Service Code	APR-DRG 7943
Min. Negotiated Rate	$10,416.59
Max. Negotiated Rate	$10,937.42
Rate for Payer: BCBS Complete	$10,937.42
Rate for Payer: Mclaren Medicaid	$10,416.59
Rate for Payer: Meridian Medicaid	$10,937.42
Rate for Payer: Priority Health Choice Medicaid	$10,416.59
Rate for Payer: UHC Medicaid	$10,416.59
Rate for Payer: UHCCP Medicaid	$10,416.59

NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$5,696.31

Service Code	APR-DRG 7941
Min. Negotiated Rate	$5,425.06
Max. Negotiated Rate	$5,696.31
Rate for Payer: BCBS Complete	$5,696.31
Rate for Payer: Mclaren Medicaid	$5,425.06
Rate for Payer: Meridian Medicaid	$5,696.31
Rate for Payer: Priority Health Choice Medicaid	$5,425.06
Rate for Payer: UHC Medicaid	$5,425.06
Rate for Payer: UHCCP Medicaid	$5,425.06

NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$7,688.53

Service Code	APR-DRG 7942
Min. Negotiated Rate	$7,322.41
Max. Negotiated Rate	$7,688.53
Rate for Payer: BCBS Complete	$7,688.53
Rate for Payer: Mclaren Medicaid	$7,322.41
Rate for Payer: Meridian Medicaid	$7,688.53
Rate for Payer: Priority Health Choice Medicaid	$7,322.41
Rate for Payer: UHC Medicaid	$7,322.41
Rate for Payer: UHCCP Medicaid	$7,322.41

NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC

Facility

$30,252.50

Service Code	MSDRG 988
Min. Negotiated Rate	$12,617.07
Max. Negotiated Rate	$30,252.50
Rate for Payer: Aetna Medicare	$13,812.38
Rate for Payer: Allen County Amish Medical Aid Commercial	$16,601.41
Rate for Payer: Amish Plain Church Group Commercial	$16,601.41
Rate for Payer: BCBS MAPPO	$13,281.13
Rate for Payer: BCBS Trust/PPO	$30,252.50
Rate for Payer: BCN Commercial	$30,252.50
Rate for Payer: BCN Medicare Advantage	$13,281.13
Rate for Payer: Health Alliance Plan Medicare Advantage	$13,281.13
Rate for Payer: Mclaren Medicare	$13,281.13
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$13,945.19
Rate for Payer: MI Amish Medical Board Commercial	$15,273.30
Rate for Payer: Molina Medicare/Medicaid	$14,609.24
Rate for Payer: Nomi Health Commercial	$21,202.44
Rate for Payer: PACE Medicare	$12,617.07
Rate for Payer: PACE SWMI	$13,281.13
Rate for Payer: PHP Medicare Advantage	$13,281.13
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$26,498.35
Rate for Payer: Priority Health Medicare	$13,281.13
Rate for Payer: Priority Health Tiered Network	$21,198.68
Rate for Payer: Railroad Medicare Medicare	$13,281.13
Rate for Payer: UHC All Payor (Choice/PPO)	$26,790.68
Rate for Payer: UHC Core	$22,413.77
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$13,281.13
Rate for Payer: UHC Exchange	$18,304.77
Rate for Payer: VA VA	$13,281.13

NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC

Facility

$77,562.41

Service Code	MSDRG 987
Min. Negotiated Rate	$25,720.73
Max. Negotiated Rate	$77,562.41
Rate for Payer: Aetna Medicare	$28,157.43
Rate for Payer: Allen County Amish Medical Aid Commercial	$33,843.06
Rate for Payer: Amish Plain Church Group Commercial	$33,843.06
Rate for Payer: BCBS MAPPO	$27,074.45
Rate for Payer: BCBS Trust/PPO	$77,562.41
Rate for Payer: BCN Commercial	$77,562.41
Rate for Payer: BCN Medicare Advantage	$27,074.45
Rate for Payer: Health Alliance Plan Medicare Advantage	$27,074.45
Rate for Payer: Mclaren Medicare	$27,074.45
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$28,428.17
Rate for Payer: MI Amish Medical Board Commercial	$31,135.62
Rate for Payer: Molina Medicare/Medicaid	$29,781.90
Rate for Payer: Nomi Health Commercial	$44,226.36
Rate for Payer: PACE Medicare	$25,720.73
Rate for Payer: PACE SWMI	$27,074.45
Rate for Payer: PHP Medicare Advantage	$27,074.45
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$55,273.14
Rate for Payer: Priority Health Medicare	$27,074.45
Rate for Payer: Priority Health Tiered Network	$44,218.51
Rate for Payer: Railroad Medicare Medicare	$27,074.45
Rate for Payer: UHC All Payor (Choice/PPO)	$55,882.92
Rate for Payer: UHC Core	$46,753.09
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$27,074.45
Rate for Payer: UHC Exchange	$38,182.09
Rate for Payer: VA VA	$27,074.45

NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC

Facility

$21,174.88

Service Code	MSDRG 989
Min. Negotiated Rate	$9,354.36
Max. Negotiated Rate	$21,174.88
Rate for Payer: Aetna Medicare	$10,240.56
Rate for Payer: Allen County Amish Medical Aid Commercial	$12,308.36
Rate for Payer: Amish Plain Church Group Commercial	$12,308.36
Rate for Payer: BCBS MAPPO	$9,846.69
Rate for Payer: BCBS Trust/PPO	$21,174.88
Rate for Payer: BCN Commercial	$21,174.88
Rate for Payer: BCN Medicare Advantage	$9,846.69
Rate for Payer: Health Alliance Plan Medicare Advantage	$9,846.69
Rate for Payer: Mclaren Medicare	$9,846.69
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$10,339.02
Rate for Payer: MI Amish Medical Board Commercial	$11,323.69
Rate for Payer: Molina Medicare/Medicaid	$10,831.36
Rate for Payer: Nomi Health Commercial	$15,469.68
Rate for Payer: PACE Medicare	$9,354.36
Rate for Payer: PACE SWMI	$9,846.69
Rate for Payer: PHP Medicare Advantage	$9,846.69
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$19,333.67
Rate for Payer: Priority Health Medicare	$9,846.69
Rate for Payer: Priority Health Tiered Network	$15,466.93
Rate for Payer: Railroad Medicare Medicare	$9,846.69
Rate for Payer: UHC All Payor (Choice/PPO)	$19,546.96
Rate for Payer: UHC Core	$16,353.49
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$9,846.69
Rate for Payer: UHC Exchange	$13,355.49
Rate for Payer: VA VA	$9,846.69

NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$11,382.30

Service Code	APR-DRG 9523
Min. Negotiated Rate	$10,840.28
Max. Negotiated Rate	$11,382.30
Rate for Payer: BCBS Complete	$11,382.30
Rate for Payer: Mclaren Medicaid	$10,840.28
Rate for Payer: Meridian Medicaid	$11,382.30
Rate for Payer: Priority Health Choice Medicaid	$10,840.28
Rate for Payer: UHC Medicaid	$10,840.28
Rate for Payer: UHCCP Medicaid	$10,840.28

NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$20,577.46

Service Code	APR-DRG 9524
Min. Negotiated Rate	$19,597.58
Max. Negotiated Rate	$20,577.46
Rate for Payer: BCBS Complete	$20,577.46
Rate for Payer: Mclaren Medicaid	$19,597.58
Rate for Payer: Meridian Medicaid	$20,577.46
Rate for Payer: Priority Health Choice Medicaid	$19,597.58
Rate for Payer: UHC Medicaid	$19,597.58
Rate for Payer: UHCCP Medicaid	$19,597.58

NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$6,695.00

Service Code	APR-DRG 9521
Min. Negotiated Rate	$6,376.19
Max. Negotiated Rate	$6,695.00
Rate for Payer: BCBS Complete	$6,695.00
Rate for Payer: Mclaren Medicaid	$6,376.19
Rate for Payer: Meridian Medicaid	$6,695.00
Rate for Payer: Priority Health Choice Medicaid	$6,376.19
Rate for Payer: UHC Medicaid	$6,376.19
Rate for Payer: UHCCP Medicaid	$6,376.19

NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$8,722.76

Service Code	APR-DRG 9522
Min. Negotiated Rate	$8,307.39
Max. Negotiated Rate	$8,722.76
Rate for Payer: BCBS Complete	$8,722.76
Rate for Payer: Mclaren Medicaid	$8,307.39
Rate for Payer: Meridian Medicaid	$8,722.76
Rate for Payer: Priority Health Choice Medicaid	$8,307.39
Rate for Payer: UHC Medicaid	$8,307.39
Rate for Payer: UHCCP Medicaid	$8,307.39

NON-HYPOVOLEMIC SODIUM DISORDERS

Facility

$6,523.58

Service Code	APR-DRG 4263
Min. Negotiated Rate	$6,212.93
Max. Negotiated Rate	$6,523.58
Rate for Payer: BCBS Complete	$6,523.58
Rate for Payer: Mclaren Medicaid	$6,212.93
Rate for Payer: Meridian Medicaid	$6,523.58
Rate for Payer: Priority Health Choice Medicaid	$6,212.93
Rate for Payer: UHC Medicaid	$6,212.93
Rate for Payer: UHCCP Medicaid	$6,212.93

NON-HYPOVOLEMIC SODIUM DISORDERS

Facility

$3,100.98

Service Code	APR-DRG 4261
Min. Negotiated Rate	$2,953.31
Max. Negotiated Rate	$3,100.98
Rate for Payer: BCBS Complete	$3,100.98
Rate for Payer: Mclaren Medicaid	$2,953.31
Rate for Payer: Meridian Medicaid	$3,100.98
Rate for Payer: Priority Health Choice Medicaid	$2,953.31
Rate for Payer: UHC Medicaid	$2,953.31
Rate for Payer: UHCCP Medicaid	$2,953.31

Know your out-of-pocket cost for care.

All Charges